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COVID-19 大流行期间医院环境中所需的危机管理能力:对护理领导者的定性研究。

Crisis management competencies needed in a hospital setting during the COVID-19 pandemic: A qualitative study of nurse leaders.

机构信息

Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland.

Medical Research Center, Oulu University Hospital, Oulu, Finland.

出版信息

Nurs Open. 2024 Mar;11(3):e2138. doi: 10.1002/nop2.2138.

Abstract

AIM

To describe the crisis management competencies needed in a hospital setting during the COVID-19 pandemic from the perspective of nurse leaders.

BACKGROUND

The COVID-19 pandemic generated many challenges for nurse leaders in hospitals, and management competencies are highlighted. However, there is little evidence available about nurse leaders' perceptions of the crisis management competencies needed in such situations.

METHODS

A qualitative, descriptive, semi-structured interview study of nurse leaders (n = 20) was conducted between June and October 2021 in one Finnish central hospital. The data were analysed using inductive content analysis.

RESULTS

The analysis yielded five main categories of crisis management competencies needed in a hospital setting during the pandemic: interactive communication competence, psychological resource management competence, systematic and proactive organising competence, active networking abilities and practices and change management approach in crisis management.

CONCLUSIONS

Nurse leaders need new and different crisis management competencies in hospital organisations. The COVID-19 pandemic changed the working culture of nurse leaders, as they faced challenges that needed knowledge and skills beyond their previous management competence.

IMPLICATIONS FOR NURSING MANAGEMENT

Additional training for nurse leaders in crisis management is needed. This training should reflect the competencies identified as necessary in crisis situations so that nurse leaders will be able to manage crisis situations effectively in future.

REPORTING METHOD

The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used in reporting the findings.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

摘要

目的

从护士领导者的角度描述 COVID-19 大流行期间医院环境所需的危机管理能力。

背景

COVID-19 大流行给医院的护士领导者带来了许多挑战,凸显了管理能力的重要性。然而,关于护士领导者对这种情况下所需的危机管理能力的看法,证据很少。

方法

2021 年 6 月至 10 月,在芬兰一家中心医院进行了一项关于护士领导者(n=20)的定性、描述性、半结构式访谈研究。使用归纳内容分析法对数据进行分析。

结果

分析产生了大流行期间医院环境中所需的危机管理能力的五个主要类别:互动沟通能力、心理资源管理能力、系统和积极主动的组织能力、积极的网络能力和实践以及危机管理中的变革管理方法。

结论

护士领导者在医院组织中需要新的和不同的危机管理能力。COVID-19 大流行改变了护士领导者的工作文化,因为他们面临的挑战需要超越他们以前的管理能力的知识和技能。

对护理管理的影响

需要对护士领导者进行危机管理方面的额外培训。这种培训应反映在危机情况下所需的能力,以便护士领导者能够在未来有效地管理危机情况。

报告方法

使用《定性研究报告的统一标准》(COREQ)清单报告研究结果。

患者或公众贡献

无患者或公众贡献。

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